Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL

Aurora, CO · CCN 060100 · Rates published

35,730 distinct procedures filed
37 distinct payers
1,023,511 rate rows
2026-07-17 last MRF observed
Data quality

986,589 of 1,023,511 rate rows are consumer-grade (96.4%)

36,922 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12,402
per-diem day rate — not a per-procedure price 11,016
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 9,643
template filing: same amount across many unrelated codes — excluded 2,918
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 527
placeholder amount (≤ $0.02) — excluded from medians 248
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 168
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/84-1321373_HCA-HEALTHONE-AURORA_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.healthonecares.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint 9221f1e2106a5574… · 559,268,208 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,850,948.67 $4,850,948.67 $4,850,948.67 nat. median
$2,968,000
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 14 $4,459,950.00 $4,730,250.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,332,000
1.6× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 3 $3,670,252.89 $4,271,819.03 $3,824,789.85 nat. median
$2,455,111
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 14 $3,648,414.33 $3,869,530.35 $3,685,267.00 nat. median
$3,765,001
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 14 $3,302,461.80 $3,502,611.00 $3,335,820.00 nat. median
$8,800
outlier · 379.1×
714
OTHER 		Inj Delandistrogene Mox R 14 $3,294,581.40 $3,494,253.00 $3,327,860.00 nat. median
$3,391,964
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 14 $3,219,982.92 $3,415,133.40 $3,252,508.00 nat. median
$3,351,720
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 14 $3,148,200.00 $3,339,000.00 $3,180,000.00 nat. median
$2,726
outlier · 1166.4×
746
OTHER 		Inj, Betibeglogene Autote 14 $2,910,569.31 $3,086,967.45 $2,939,969.00 nat. median
$3,001,835
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 14 $2,563,091.19 $2,718,430.05 $2,588,981.00 nat. median
$2,508,045
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 14 $2,308,680.00 $2,448,600.00 $2,332,000.00 nat. median
$28,063
outlier · 83.1×
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 2 $1,271,523.00 $2,311,860.00 $2,311,860.00 nat. median
$813,967
outlier · 2.8×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 5 $819,605.32 $1,762,948.71 $1,366,285.25 nat. median
$599,737
outlier · 2.3×
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 5 $836,958.70 $1,699,593.90 $1,317,185.27 nat. median
$621,313
outlier · 2.1×
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 5 $765,607.90 $1,686,603.72 $1,307,117.89 nat. median
$579,571
outlier · 2.3×
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 5 $782,774.83 $1,674,245.19 $1,297,540.02 nat. median
$574,037
outlier · 2.3×
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 5 $741,901.04 $1,596,576.72 $1,237,346.96 nat. median
$562,501
outlier · 2.2×
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 5 $725,845.60 $1,468,350.60 $1,137,971.72 nat. median
$513,770
outlier · 2.2×
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 2 $459,112.50 $834,750.00 $834,750.00 nat. median
$286,598
outlier · 2.9×
2067
OTHER 		Afamitresgene Autoleucel 14 $762,913.80 $809,151.00 $770,620.00 nat. median
$838,386
0.9× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 2 $332,753.88 $605,007.06 $605,007.06 nat. median
$207,733
outlier · 2.9×
9498
OTHER 		Ciltacabtagene Car-pos T 14 $581,773.10 $617,032.08 $587,649.60 nat. median
$553,480
1.1× median
9194
OTHER 		Tisagenlecleucel Car-pos 14 $560,865.99 $594,857.87 $566,531.30 nat. median
$555,653
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 14 $556,579.19 $590,311.26 $562,201.20 nat. median
$542,562
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 14 $552,500.98 $585,985.89 $558,081.80 nat. median
$552,917
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 14 $526,870.28 $558,801.81 $532,192.20 nat. median
$513,929
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 14 $484,555.70 $513,922.71 $489,450.20 nat. median
$483,557
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $1,975.00 $616,909.48 $362,271.60 nat. median
$168,055
outlier · 2.2×
C1822
HCPCS 		Pulse Gen Imp 16 $78,789.96 $466,519.50 $331,747.20 nat. median
$30,046
outlier · 11.0×
C1825
HCPCS 		Generator Pulse Ipg 16 $71,374.79 $469,570.50 $328,699.70 nat. median
$35,000
outlier · 9.4×
5834
APR_DRG 		Neonate With Ecmo 2 $259,553.85 $390,081.55 $324,817.70 nat. median
$390,362
0.8× median
772862
CDM 		Valve Aor 15fr W/23mm 16 $73,294.86 $433,982.70 $308,609.92 —
772856
CDM 		Valve Aor 15f W/27mm 16 $73,294.86 $433,982.70 $308,609.92 —
772861
CDM 		Valve Aor 15f W25mm Edg 16 $73,294.86 $433,982.70 $308,609.92 —
575012
CDM 		Valve Tavr Sz 26mm 16 $67,975.92 $402,489.00 $286,214.40 nat. median
$75,000
outlier · 3.8×
575010
CDM 		Valve Tavr Size 34mm 16 $67,975.92 $402,489.00 $286,214.40 nat. median
$75,000
outlier · 3.8×
575013
CDM 		Valve Tavr Sz 23mm 16 $67,975.92 $402,489.00 $286,214.40 nat. median
$54,648
outlier · 5.2×
575011
CDM 		Valve Tavr Sz 29mm 16 $67,975.92 $402,489.00 $286,214.40 nat. median
$75,000
outlier · 3.8×
831
OTHER 		Obecbtge Autol Up To 400 14 $275,467.50 $292,162.50 $278,250.00 nat. median
$278,250
1.0× median
5833
APR_DRG 		Neonate With Ecmo 2 $205,571.85 $342,642.39 $274,107.12 nat. median
$268,208
1.0× median
551582
CDM 		Valve Heart Trnscth 20mm 16 $64,704.12 $383,116.50 $272,438.40 nat. median
$47,888
outlier · 5.7×
871793
CDM 		Vlv 26mm Sapn Xt Trnscth 16 $64,704.12 $383,116.50 $272,438.40 —
873686
CDM 		Kit Aor Vlv 14fr 29mm 16 $64,704.12 $383,116.50 $272,438.40 nat. median
$10
outlier · 27546.9×
777386
CDM 		Valve Aor With Intro 25mm 16 $64,704.12 $383,116.50 $272,438.40 —
871794
CDM 		Valve 29mm Sapien Xt 16 $64,704.12 $383,116.50 $272,438.40 —
775844
CDM 		Valve Heart Trnscth 23mm 16 $64,704.12 $383,116.50 $272,438.40 nat. median
$47,888
outlier · 5.7×
871795
CDM 		Valve 29mm Sapien Xt Flx 16 $64,704.12 $383,116.50 $272,438.40 —
775845
CDM 		Valve Heart Trnscth 26mm 16 $64,704.12 $383,116.50 $272,438.40 nat. median
$47,888
outlier · 5.7×
871796
CDM 		Valve Xt Sapien 23mm Ta 16 $64,704.12 $383,116.50 $272,438.40 —

Other procedures at this hospital

Browse this hospital's 35,730 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 1 1 — — $4,850,948.67 $4,850,948.67 $4,850,948.67 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 20 14 — — $4,459,950.00 $4,730,250.00 $4,505,000.00 2026-03-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 1 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 4 3 — — $3,670,252.89 $4,271,819.03 $3,824,789.85 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 20 14 — — $3,648,414.33 $3,869,530.35 $3,685,267.00 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 20 14 — — $3,302,461.80 $3,502,611.00 $3,335,820.00 2026-03-01
714 OTHER Inj Delandistrogene Mox R 20 14 — — $3,294,581.40 $3,494,253.00 $3,327,860.00 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 20 14 — — $3,219,982.92 $3,415,133.40 $3,252,508.00 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 20 14 — — $3,148,200.00 $3,339,000.00 $3,180,000.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 20 14 — — $2,910,569.31 $3,086,967.45 $2,939,969.00 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 20 14 — — $2,563,091.19 $2,718,430.05 $2,588,981.00 2026-03-01
824 OTHER Inj, Exagamglogene Autote 20 14 — — $2,308,680.00 $2,448,600.00 $2,332,000.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 3 2 — — $1,271,523.00 $2,311,860.00 $2,311,860.00 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 9 5 — — $819,605.32 $1,762,948.71 $1,366,285.25 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 9 5 — — $836,958.70 $1,699,593.90 $1,317,185.27 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 9 5 — — $765,607.90 $1,686,603.72 $1,307,117.89 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 9 5 — — $782,774.83 $1,674,245.19 $1,297,540.02 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 9 5 — — $741,901.04 $1,596,576.72 $1,237,346.96 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 9 5 — — $725,845.60 $1,468,350.60 $1,137,971.72 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 3 2 — — $459,112.50 $834,750.00 $834,750.00 2026-03-01
2067 OTHER Afamitresgene Autoleucel 20 14 — — $762,913.80 $809,151.00 $770,620.00 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 3 2 — — $332,753.88 $605,007.06 $605,007.06 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 20 14 — — $581,773.10 $617,032.08 $587,649.60 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 20 14 — — $560,865.99 $594,857.87 $566,531.30 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 20 14 — — $556,579.19 $590,311.26 $562,201.20 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 20 14 — — $552,500.98 $585,985.89 $558,081.80 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 20 14 — — $526,870.28 $558,801.81 $532,192.20 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 20 14 — — $484,555.70 $513,922.71 $489,450.20 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 17 — — $1,975.00 $616,909.48 $362,271.60 2026-03-01
C1822 HCPCS Pulse Gen Imp 23 16 $518,355.00 $518,355.00 $78,789.96 $466,519.50 $331,747.20 2026-03-01
C1825 HCPCS Generator Pulse Ipg 46 16 $495,658.00 $495,658.00 $71,374.79 $469,570.50 $328,699.70 2026-03-01
5834 APR_DRG Neonate With Ecmo 2 2 — — $259,553.85 $390,081.55 $324,817.70 2026-03-01
772862 CDM Valve Aor 15fr W/23mm 23 16 $482,203.00 $482,203.00 $73,294.86 $433,982.70 $308,609.92 2026-03-01
772861 CDM Valve Aor 15f W25mm Edg 23 16 $482,203.00 $482,203.00 $73,294.86 $433,982.70 $308,609.92 2026-03-01
772856 CDM Valve Aor 15f W/27mm 23 16 $482,203.00 $482,203.00 $73,294.86 $433,982.70 $308,609.92 2026-03-01
575013 CDM Valve Tavr Sz 23mm 23 16 $447,210.00 $447,210.00 $67,975.92 $402,489.00 $286,214.40 2026-03-01
575011 CDM Valve Tavr Sz 29mm 23 16 $447,210.00 $447,210.00 $67,975.92 $402,489.00 $286,214.40 2026-03-01
575012 CDM Valve Tavr Sz 26mm 23 16 $447,210.00 $447,210.00 $67,975.92 $402,489.00 $286,214.40 2026-03-01
575010 CDM Valve Tavr Size 34mm 23 16 $447,210.00 $447,210.00 $67,975.92 $402,489.00 $286,214.40 2026-03-01
831 OTHER Obecbtge Autol Up To 400 20 14 — — $275,467.50 $292,162.50 $278,250.00 2026-03-01
5833 APR_DRG Neonate With Ecmo 2 2 — — $205,571.85 $342,642.39 $274,107.12 2026-03-01
777390 CDM Valve Aor With Intro 27mm 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
871792 CDM Valve 23mm Sapien Xt 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
873686 CDM Kit Aor Vlv 14fr 29mm 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
871794 CDM Valve 29mm Sapien Xt 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
871795 CDM Valve 29mm Sapien Xt Flx 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
777384 CDM Valve Aor With Intro 23mm 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
871793 CDM Vlv 26mm Sapn Xt Trnscth 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
775844 CDM Valve Heart Trnscth 23mm 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
551582 CDM Valve Heart Trnscth 20mm 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
871796 CDM Valve Xt Sapien 23mm Ta 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
871797 CDM Valve Xt Sapien 26mm Ta 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
777386 CDM Valve Aor With Intro 25mm 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
775845 CDM Valve Heart Trnscth 26mm 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
897 OTHER Revakinagene, Per Implant 20 14 — — $262,350.00 $278,250.00 $265,000.00 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $212,904.99 $300,544.34 $256,724.67 2026-03-01
876591 CDM Vlv Aor 26-29mm 0-43mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
893421 CDM Valve Tavr 34mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
777080 CDM Valve Aor Tavr 29mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
897594 CDM Valve Tavr 29mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
897593 CDM Valve Tavr 26mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
777081 CDM Valve Aor Tavr 34mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
876573 CDM Valve Tavr 23mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
897592 CDM Valve Tavr 23mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
777082 CDM Valve Aor Tavr 26mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
876575 CDM Valve Tavr 29mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
876574 CDM Valve Transcth Aor 26mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
777083 CDM Valve Aor Tavr 23mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 3 2 — — $138,148.31 $251,178.75 $251,178.75 2026-03-01
605873 CDM Stent Evas 22fr 16cm 23 16 $379,842.00 $379,842.00 $57,735.98 $341,857.80 $243,098.88 2026-03-01
598832 CDM Stent Evas 22fr 16cm 23 16 $379,842.00 $379,842.00 $57,735.98 $341,857.80 $243,098.88 2026-03-01
C1824 HCPCS Gen Pls Card Mod Sys 46 16 $363,506.50 $363,506.50 $51,870.15 $347,185.80 $238,875.70 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 40 19 — — $1,975.00 $400,349.44 $235,528.60 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 2 2 — — $196,443.75 $267,232.31 $231,838.03 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $203,562.46 $227,074.08 $215,318.27 2026-03-01
955647 CDM Rmv Icd W Rplc Mult Ld 29 15 $419,169.11 $419,169.11 $63,713.70 $377,252.20 $209,584.55 2026-03-01
955643 CDM Ins Icd Gen W Dual Lead 29 15 $419,169.11 $419,169.11 $63,713.70 $377,252.20 $209,584.55 2026-03-01
955646 CDM Rmv Icd W Rplc Dual Ld 29 15 $419,169.11 $419,169.11 $63,713.70 $377,252.20 $209,584.55 2026-03-01
955644 CDM Ins Icd Gen W Mult Lead 29 15 $419,169.11 $419,169.11 $63,713.70 $377,252.20 $209,584.55 2026-03-01
955645 CDM Rmv Icd W Rplc Sgl Ld 29 15 $419,169.11 $419,169.11 $63,713.70 $377,252.20 $209,584.55 2026-03-01
125245 CDM Revsc Low Extr Ivl Angio 29 15 $413,193.00 $413,193.00 $62,805.34 $371,873.70 $206,596.50 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 20 14 — — $199,652.31 $211,752.45 $201,669.00 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $154,534.56 $241,870.40 $198,202.48 2026-03-01
5832 APR_DRG Neonate With Ecmo 2 2 — — $151,589.21 $235,856.24 $193,722.72 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $143,552.95 $226,153.03 $184,852.99 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 19 — — $1,975.00 $328,654.12 $179,732.60 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 19 — — $1,975.00 $560,173.00 $178,684.90 2026-03-01
647486 CDM System Dlv Cath 1 Clip 36 17 $379,842.00 $379,842.00 $57,735.98 $341,857.80 $176,056.77 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $133,914.44 $214,354.80 $174,134.62 2026-03-01
566272 CDM Occluder Cardiac Lt 31mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
584753 CDM Transcth Aortic Vlv 25mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
584752 CDM Transcth Aortic Vlv 23mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
566278 CDM Occluder Cardiac Lt 16mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
566276 CDM Occluder Cardiac Lt 20mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
584751 CDM Transcth Aortic Vlv 27mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
566271 CDM Occluder Cardiac Lt 34mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
584750 CDM Transcth Aortic Vlv 29mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
566275 CDM Occluder Cardiac Lt 22mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
566277 CDM Occluder Cardiac Lt 18mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
566273 CDM Occluder Cardiac Lt 28mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
566274 CDM Occluder Cardiac Lt 25mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
C2616 HCPCS Brachytx Ns Yttrium 90 67 15 $268,252.00 $268,252.00 $8,688.00 $258,867.90 $171,681.28 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $137,161.04 $205,887.53 $171,524.29 2026-03-01
775999 CDM Stent 34mmx34mmx15cm 23 16 $262,364.00 $262,364.00 $39,879.33 $236,127.60 $167,912.96 2026-03-01
560738 CDM Stent Thor 31x26mm 10cm 23 16 $262,364.00 $262,364.00 $39,879.33 $236,127.60 $167,912.96 2026-03-01
C1820 HCPCS Generator Nrstm 18 Ch 115 16 $257,892.00 $257,892.00 $34,554.46 $358,702.20 $167,629.80 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $134,307.76 $197,085.00 $165,696.38 2026-03-01
595979 CDM Cage Ankle Cstm Sz M 23 16 $254,239.00 $254,239.00 $38,644.33 $228,815.10 $162,712.96 2026-03-01
587993 CDM Device Clsr 35mm 23 16 $253,419.00 $253,419.00 $38,519.69 $228,077.10 $162,188.16 2026-03-01
587992 CDM Device Clsr 31mm 23 16 $253,419.00 $253,419.00 $38,519.69 $228,077.10 $162,188.16 2026-03-01
587990 CDM Device Clsr 40mm 23 16 $253,419.00 $253,419.00 $38,519.69 $228,077.10 $162,188.16 2026-03-01
587991 CDM Device Clsr 20mm 23 16 $253,419.00 $253,419.00 $38,519.69 $228,077.10 $162,188.16 2026-03-01
587989 CDM Device Clsr 24mm 23 16 $253,419.00 $253,419.00 $38,519.69 $228,077.10 $162,188.16 2026-03-01
587988 CDM Device Clsr 27mm 23 16 $253,419.00 $253,419.00 $38,519.69 $228,077.10 $162,188.16 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $134,086.76 $189,805.36 $161,946.06 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $133,231.71 $184,979.66 $159,105.68 2026-03-01
1907 OTHER New Technology - Level 52 20 14 — — $155,885.20 $165,332.79 $157,459.80 2026-03-01
1908 OTHER New Technology - Level 52 20 14 — — $155,885.20 $165,332.79 $157,459.80 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $128,785.38 $185,485.48 $157,135.43 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $127,907.95 $186,317.79 $157,112.87 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $138,854.06 $175,247.53 $157,050.79 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $155,337.18 $155,950.02 $155,643.60 2026-03-01
778313 CDM Graft Evas 52mm 37mm 20f 23 16 $242,248.00 $242,248.00 $36,821.70 $218,023.20 $155,038.72 2026-03-01
888494 CDM Tmvr Initial 29 15 $309,074.66 $309,074.66 $46,979.35 $278,167.19 $154,537.33 2026-03-01
885940 CDM Tavr 29 15 $309,074.66 $309,074.66 $46,979.35 $278,167.19 $154,537.33 2026-03-01
C1767 HCPCS Device Ipg Sleep 51mm 207 16 $271,681.00 $271,681.00 $18,981.00 $497,449.80 $154,032.30 2026-03-01
883402 CDM Ins/repl Subq Imp Icd Sy 29 15 $302,605.20 $302,605.20 $45,995.99 $272,344.68 $151,302.60 2026-03-01
771873 CDM Stent 20fr 31x31mm 10cm 23 16 $235,136.00 $235,136.00 $35,740.67 $211,622.40 $150,487.04 2026-03-01
783358 CDM Stnt Thorac 26x26mm 10cm 23 16 $235,136.00 $235,136.00 $35,740.67 $211,622.40 $150,487.04 2026-03-01
647641 CDM Stent Graft 15cm 40x34mm 23 16 $235,136.00 $235,136.00 $35,740.67 $211,622.40 $150,487.04 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $124,886.96 $173,879.40 $149,383.18 2026-03-01
556304 CDM Graft Evas 45x45mm 15cm 23 16 $230,525.00 $230,525.00 $35,039.80 $207,472.50 $147,536.00 2026-03-01
783155 CDM Stent Graft 15cn 28x28mm 23 16 $230,525.00 $230,525.00 $35,039.80 $207,472.50 $147,536.00 2026-03-01
781685 CDM Stent Eprsth 37x37x15cm 23 16 $230,525.00 $230,525.00 $35,039.80 $207,472.50 $147,536.00 2026-03-01
780835 CDM Stent Eprsth 40x40x15cm 23 16 $230,525.00 $230,525.00 $35,039.80 $207,472.50 $147,536.00 2026-03-01
772933 CDM Stent Graft 10cm 21x21mm 23 16 $230,525.00 $230,525.00 $35,039.80 $207,472.50 $147,536.00 2026-03-01
783359 CDM Stnt Thorac 28x28mm 10cm 23 16 $230,525.00 $230,525.00 $35,039.80 $207,472.50 $147,536.00 2026-03-01
558473 CDM Tag Conform Thoracic Sg 23 16 $230,525.00 $230,525.00 $35,039.80 $207,472.50 $147,536.00 2026-03-01
774713 CDM Graft Evas 34x34x10cm 23 16 $230,525.00 $230,525.00 $35,039.80 $207,472.50 $147,536.00 2026-03-01
776775 CDM Stent Graft 20cm 45x45mm 23 16 $230,525.00 $230,525.00 $35,039.80 $207,472.50 $147,536.00 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $125,578.90 $164,450.82 $145,014.86 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $88,406.10 $197,085.00 $142,745.55 2026-03-01
1906 OTHER New Technology - Level 51 20 14 — — $140,552.28 $149,070.60 $141,972.00 2026-03-01
1905 OTHER New Technology - Level 51 20 14 — — $140,552.28 $149,070.60 $141,972.00 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $127,562.64 $156,275.14 $141,918.89 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 3 2 — — $77,046.96 $140,085.39 $140,085.39 2026-03-01
5831 APR_DRG Neonate With Ecmo 2 2 — — $131,000.65 $148,342.61 $139,671.63 2026-03-01
566220 CDM Device Embl 4.25mm 12mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566214 CDM Device Embl 4.5mm 20mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566216 CDM Device Embl 4.50x16mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566232 CDM Device Embl 3.5mm 14mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566186 CDM Device Embl 4.25mm 20mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566188 CDM Device Embl 4mm 18mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566181 CDM Device Embl 4.75mm 14mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566235 CDM Device Embl 3.25mm 16mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566189 CDM Device Embl 4mm 16mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566176 CDM Device Embl 5.0x20mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566184 CDM Device Embl 4.5mm 12mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566215 CDM Device Embl 4.5mm 18mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566191 CDM Device Embl 3.75mm 14mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566199 CDM Device Embl 5.0x.0mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566224 CDM Device Embl 4.00x2mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566237 CDM Device Embl 5mm 35mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566178 CDM Device Embl 5.0x16mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
564638 CDM Device Emb 4.25mm 16mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566052 CDM Device Embl 10mm 2.5mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566212 CDM Device Embl 4.75mm 20mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566060 CDM Device Embl 2.5mm 16mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566067 CDM Device Embl 2.75mm 16mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566180 CDM Device Embl 4.75mm 16mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566190 CDM Device Embl 4mm 14mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566219 CDM Device Embl 4.25mm 14mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566187 CDM Device Embl 4.25mm 18mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $111,615.09 $161,568.68 $136,591.89 2026-03-01
953004 CDM Revasc Tib Stnt/ath Init 29 15 $267,953.30 $267,953.30 $40,728.90 $241,157.97 $133,976.65 2026-03-01
953038 CDM Revasc Tib Stnt/ath Init 29 15 $267,953.30 $267,953.30 $40,728.90 $241,157.97 $133,976.65 2026-03-01
953000 CDM Revasc Fem/pop Stnt/ath 29 15 $267,953.30 $267,953.30 $40,728.90 $241,157.97 $133,976.65 2026-03-01
953034 CDM Revasc Fem/pop Stnt/ath 29 15 $267,953.30 $267,953.30 $40,728.90 $241,157.97 $133,976.65 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 2 2 — — $121,477.89 $144,998.05 $133,237.97 2026-03-01
C1882 HCPCS Crt-d Crd 5.37x8.08x0.99 483 16 $205,241.00 $205,241.00 $20,647.83 $250,374.60 $131,354.24 2026-03-01
593023 CDM Stent Vasc 300mm 16mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593020 CDM Stent Vasc 275mm 14mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593026 CDM Stent Vasc 325mm 14mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593025 CDM Stent Vasc 400mm 14mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593119 CDM Device Embl 5x40mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593124 CDM Stent Vasc 250mm 12mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593021 CDM Stent Vasc 500mm 16mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593115 CDM Stent Vasc 350mm 20mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593019 CDM Stent Vasc 450mm 14mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593017 CDM Stent Vasc 250mm 16mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593116 CDM Stent Vasc 275mm 12mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593018 CDM Stent Vasc 500mm 14mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593114 CDM Stent Vasc 400mm 25mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593015 CDM Stent Vasc 325mm 16mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593014 CDM Stent Vasc 350mm 16mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593110 CDM Stent Vasc 350mm 25mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593132 CDM Stent Vasc 400mm 12mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593129 CDM Stent Vasc 600mm 40mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593120 CDM Stent Vasc 450mm 40mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593013 CDM Stent Vasc 350mm 14mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593016 CDM Stent Vasc 300mm 14mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
592935 CDM Stent Vasc 20mm 275mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593137 CDM Stent Vasc 500mm 25mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
592936 CDM Stent Vasc 20mm 250mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593133 CDM Stent Vasc 250mm 10mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593022 CDM Device Embl 400mm 16mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593118 CDM Stent Vasc 600mm 30mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593012 CDM Stent Vasc 450mm 16mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593024 CDM Device Embl 2.5x14mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
592871 CDM Stent Vasc 16mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593127 CDM Stent Vasc 400mm 20mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593123 CDM Stent Vasc 300mm 12mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593134 CDM Stent Vasc 550mm 50mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
592933 CDM Stent Vasc 16mm 550mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593112 CDM Stent Vasc 450mm 20mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593122 CDM Stent Vasc 325mm 12mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593125 CDM Stent Vasc 400mm 30mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
592934 CDM Stent Vasc 20mm 300mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593131 CDM Stent Vasc 450mm 30mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593126 CDM Stent Vasc 500mm 20mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593136 CDM Stent Vasc 500mm 30mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593128 CDM Stent Vasc 325mm 20mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
592870 CDM Stent Vasc 16mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593130 CDM Stent Vasc 550mm 40mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
557943 CDM Graft Evas Alpha 142x34m 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593117 CDM Stent Vasc 600mm 50mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593111 CDM Stent Vasc 550mm 25mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593121 CDM Stent Vasc 350mm 12mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593113 CDM Stent Vasc 450mm 12mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593138 CDM Stent Vasc 450mm 25mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
589161 CDM Stent Vasc Vo3 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
959471 CDM Perc Clsr Lt Atrl W/imp 29 15 $253,429.71 $253,429.71 $38,521.32 $228,086.74 $126,714.85 2026-03-01
1904 OTHER New Technology - Level 50 20 14 — — $125,219.36 $132,808.41 $126,484.20 2026-03-01
1903 OTHER New Technology - Level 50 20 14 — — $125,219.36 $132,808.41 $126,484.20 2026-03-01
849531 CDM Graft Hemi Cndyl Mdl Rt 23 16 $197,379.00 $197,379.00 $30,001.61 $177,641.10 $126,322.56 2026-03-01
605845 CDM Cage Spnl Exp 18mm 23 16 $196,975.00 $196,975.00 $29,940.20 $177,277.50 $126,064.00 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $125,214.52 $126,060.92 $125,637.72 2026-03-01
999395 CDM Nrstm Impl 60mm Fsn Spn 23 16 $192,759.00 $192,759.00 $29,299.37 $173,483.10 $123,365.76 2026-03-01
997676 CDM Graft Hemi Cndyl Mdl Lt 23 16 $187,269.00 $187,269.00 $28,464.89 $168,542.10 $119,852.16 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $118,952.83 $119,774.96 $119,363.90 2026-03-01
64 APR_DRG Pancreas Transplant 2 2 — — $110,900.79 $126,246.35 $118,573.57 2026-03-01
771691 CDM Valve Aortic 27mm 23 16 $183,372.00 $183,372.00 $27,872.54 $165,034.80 $117,358.08 2026-03-01
576638 CDM Valve Aortic 21mm 23 16 $183,372.00 $183,372.00 $27,872.54 $165,034.80 $117,358.08 2026-03-01
560987 CDM Valve Aortic 29mm 23 16 $183,372.00 $183,372.00 $27,872.54 $165,034.80 $117,358.08 2026-03-01
772751 CDM Valve Aortic 25mm 23 16 $183,372.00 $183,372.00 $27,872.54 $165,034.80 $117,358.08 2026-03-01
569793 CDM Valve Aortic 23mm 23 16 $183,372.00 $183,372.00 $27,872.54 $165,034.80 $117,358.08 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 31 19 — — $1,975.00 $239,323.00 $117,032.90 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $99,531.10 $129,939.46 $114,735.28 2026-03-01
566572 CDM Gft Evs 15f 20x14.5x12mm 23 16 $176,484.00 $176,484.00 $26,825.57 $158,835.60 $112,949.76 2026-03-01
565377 CDM Graft Endo Aaa 32x14mm 23 16 $176,484.00 $176,484.00 $26,825.57 $158,835.60 $112,949.76 2026-03-01
796086 CDM Graft Endo Aaa 23x12mm 23 16 $176,484.00 $176,484.00 $26,825.57 $158,835.60 $112,949.76 2026-03-01
562607 CDM Graft Endo Aaa 36x14mm 23 16 $176,484.00 $176,484.00 $26,825.57 $158,835.60 $112,949.76 2026-03-01
975598 CDM Graft Bn Hemi Condrl Rt 23 16 $175,715.00 $175,715.00 $26,708.68 $158,143.50 $112,457.60 2026-03-01
997677 CDM Graft Bn Fem Hemi Cndyl 23 16 $175,715.00 $175,715.00 $26,708.68 $158,143.50 $112,457.60 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 20 14 — — $111,218.58 $117,959.10 $112,342.00 2026-03-01
1902 OTHER New Technology - Level 49 20 14 — — $109,886.44 $116,546.22 $110,996.40 2026-03-01
1901 OTHER New Technology - Level 49 20 14 — — $109,886.44 $116,546.22 $110,996.40 2026-03-01
7 MS_DRG Lung Transplant 37 17 — — $1,975.00 $185,006.56 $109,498.00 2026-03-01
545929 CDM Cage Spn D 13mm 23 16 $169,618.00 $169,618.00 $25,781.94 $152,656.20 $108,555.52 2026-03-01
786510 CDM Cage Spn 20mm 23 16 $169,618.00 $169,618.00 $25,781.94 $152,656.20 $108,555.52 2026-03-01
775018 CDM Cage Spnl Cntrpc 13mm 23 16 $169,618.00 $169,618.00 $25,781.94 $152,656.20 $108,555.52 2026-03-01
781540 CDM Cage Spnl 25mm D Centerp 23 16 $169,618.00 $169,618.00 $25,781.94 $152,656.20 $108,555.52 2026-03-01
780778 CDM Cage Spn Szc 25mm 23 16 $169,618.00 $169,618.00 $25,781.94 $152,656.20 $108,555.52 2026-03-01
794647 CDM Cage Spnl C 30-45x20mm 23 16 $169,618.00 $169,618.00 $25,781.94 $152,656.20 $108,555.52 2026-03-01
551227 CDM Cage Spn Sz A 25mm 23 16 $169,618.00 $169,618.00 $25,781.94 $152,656.20 $108,555.52 2026-03-01
579495 CDM Implant Cran Xl 23 16 $169,582.00 $169,582.00 $25,776.46 $152,623.80 $108,532.48 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $78,554.48 $137,036.42 $107,795.45 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 2 2 — — $96,445.65 $118,758.01 $107,601.83 2026-03-01
587526 CDM End Cap Spn 13mm 47-72mm 23 16 $167,947.00 $167,947.00 $25,527.94 $151,152.30 $107,486.08 2026-03-01
606035 CDM Implant Spn Cerv Sys 4mm 23 16 $167,026.00 $167,026.00 $25,387.95 $150,323.40 $106,896.64 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 6 4 — — $102,561.22 $192,824.37 $106,879.59 2026-03-01
592902 CDM Pump Pain Infn 20ml 23 16 $166,765.00 $166,765.00 $25,348.28 $150,088.50 $106,729.60 2026-03-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 3 — — $103,412.00 $110,488.59 $106,024.41 2026-03-01
597177 CDM Cage Spn 6d 17-26mm 12mm 23 16 $165,584.00 $165,584.00 $25,168.77 $149,025.60 $105,973.76 2026-03-01
866765 CDM Graft Evas 31x14.5m 15cm 23 16 $165,204.00 $165,204.00 $25,111.01 $148,683.60 $105,730.56 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $86,136.24 $123,515.26 $104,825.75 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $89,292.74 $119,568.94 $104,430.84 2026-03-01
784085 CDM Graft Bn Trchlea Lt Ost 23 16 $160,390.00 $160,390.00 $24,379.28 $144,351.00 $102,649.60 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 2 2 — — $90,149.77 $114,919.11 $102,534.44 2026-03-01
551226 CDM Cage Spn Szb 25mm 23 16 $159,642.00 $159,642.00 $24,265.58 $143,677.80 $102,170.88 2026-03-01
796249 CDM Graft Endo Aaa 28.5x12mm 23 16 $158,945.00 $158,945.00 $24,159.64 $143,050.50 $101,724.80 2026-03-01
562279 CDM Graft Evasc 20x12mmx12cm 23 16 $158,945.00 $158,945.00 $24,159.64 $143,050.50 $101,724.80 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 33 17 — — $3,100.00 $210,000.00 $101,703.00 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 2 2 — — $87,678.64 $114,461.64 $101,070.14 2026-03-01
595762 CDM Prost Bn Crnl 23 16 $157,642.00 $157,642.00 $23,961.58 $141,877.80 $100,890.88 2026-03-01
872005 CDM Graft Evas 23x14.5m 12cm 23 16 $157,299.00 $157,299.00 $23,909.45 $141,569.10 $100,671.36 2026-03-01
571668 CDM Cntr Piece Turq Spn 13mm 23 16 $156,348.00 $156,348.00 $23,764.90 $140,713.20 $100,062.72 2026-03-01
590833 CDM Impl Spn Mag 13x24-32mm 23 16 $156,348.00 $156,348.00 $23,764.90 $140,713.20 $100,062.72 2026-03-01
798749 CDM Graft Endo Aaa 26x12mm 23 16 $155,068.00 $155,068.00 $23,570.34 $139,561.20 $99,243.52 2026-03-01
867110 CDM Graft Evas 14.5mm 12cm 23 16 $153,468.00 $153,468.00 $23,327.14 $138,121.20 $98,219.52 2026-03-01
862822 CDM Graft Evas 35x14.5m 14cm 23 16 $153,468.00 $153,468.00 $23,327.14 $138,121.20 $98,219.52 2026-03-01
1585 OTHER New Technology - Level 48 20 14 — — $97,109.01 $102,994.41 $98,089.91 2026-03-01
1599 OTHER New Technology - Level 48 20 14 — — $97,109.01 $102,994.41 $98,089.91 2026-03-01
774168 CDM Cage Spnl 40mm 16mm 23 16 $150,055.00 $150,055.00 $22,808.36 $135,049.50 $96,035.20 2026-03-01
557005 CDM Cage Spnl 18mm 24d 23 16 $150,055.00 $150,055.00 $22,808.36 $135,049.50 $96,035.20 2026-03-01
774293 CDM Cage Spnl 16deg 14mm 23 16 $150,055.00 $150,055.00 $22,808.36 $135,049.50 $96,035.20 2026-03-01
773834 CDM Cage Spn 12d 13x27x40mm 23 16 $150,055.00 $150,055.00 $22,808.36 $135,049.50 $96,035.20 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 40 19 — — $1,975.00 $306,157.00 $95,966.59 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 42 18 — — $1,975.00 $203,626.00 $95,857.90 2026-03-01
862138 CDM Graft Evas 23x14.5m14cm 23 16 $148,996.00 $148,996.00 $22,647.39 $134,096.40 $95,357.44 2026-03-01
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